Individual
ZACK MAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 WEEPING WILLOW DR APT B, LYNCHBURG, VA 24501-3990
(540) 556-3353
Mailing address
70 WEEPING WILLOW DR APT B, LYNCHBURG, VA 24501-3990
(154) 055-6335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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